NPI | 1760856173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8995) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA8995) |
235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP8995) | |
Enumeration Date | 2015-11-23 |
Last Update Date | 2023-05-23 |